The influence of pediatric cancer treatment on taste perception and food hedonics: a systematic review

Author:

Curtis Annie R1ORCID,Tan Sze Yen1,Boltong Anna23,Cohen Jennifer45,Kiss Nicole16ORCID

Affiliation:

1. Institute for Physical Activity and Nutrition, Deakin University , Geelong, Victoria, Australia

2. Cancer Australia , Surry Hills, New South Wales, Australia

3. Kirby Institute, University of New South Wales (UNSW) Medicine, UNSW , Kensington, New South Wales, Australia

4. Discipline of Paediatrics and Child Health, UNSW Medicine & Health, Randwick Clinical Campus, UNSW Sydney , Sydney, New South Wales, Australia

5. Canteen Australia , Sydney, New South Wales, Australia

6. Allied Health Department, Peter MacCallum Cancer Centre , Melbourne, Victoria, Australia

Abstract

Abstract Context Children with cancer are at risk of poor nutritional status during treatment and into survivorship. Objectively measured taste perception and self-reported food hedonics are 2 factors that may influence food intake. Objective This 2-armed systematic review examined whether chemotherapy and radiotherapy affect (1) taste perception and (2) hedonic experiences of children and survivors of childhood cancer. Data Source A 2-armed systematic literature search was conducted in the Medline, CINAHL, Embase, and PsychInfo database until June 2022. The effects of cancer treatment on objective taste perception or food hedonics (ie, food liking or aversion and appetite) were examined. Data Extraction Peer-reviewed articles published in English of studies that included children (aged <18 years) or survivors of childhood cancer (any age) were reviewed. Risk of bias was determined using the Evidence Analysis Library by the Academy of Nutrition and Dietetics. Data Analysis A total of 1417 articles in the taste search arm and 3862 articles in the hedonics search arm were identified. Of these, 9 and 4 articles were eligible for review, respectively. Cancer treatment had highly variable effects on taste perception during treatment and into survivorship. Learned food aversions were experienced by children receiving chemotherapy treatment and liking of meats and salty foods by children with cancer was affected. The impact of treatment on appetite varied. Conclusions Cancer treatment did not uniformly affect taste perception. Food liking may be negatively affected, and learned food aversions may develop during cancer treatment. To establish the clinical relevance of childhood cancer treatment on taste perception and food hedonics, more research is required. Systematic Review Registration PROSPERO registration no.CRD42020207127.

Publisher

Oxford University Press (OUP)

Reference44 articles.

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3. Malnutrition in childhood cancer patients: a review on its prevalence and possible causes;Brinksma;Crit Rev Oncol Hematol,2012

4. Malnutrition in pediatric patients with cancer at diagnosis and throughout therapy: a multicenter cohort study;Zimmermann;Pediatr Blood Cancer,2013

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